Organization
YOUR RIDE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DONALD NICKLES (OWNER)
(785) 375-1221
Entity
Organization
Contact information
Practice address
107 S GAINES ST STE 104, ENNIS, TX 75119-4612
(785) 375-1221
(972) 875-6276
Mailing address
PO BOX 1125, ENNIS, TX 75120-1125
(785) 375-1221
(972) 875-6276
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
05/09/2023
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